
Prior Authorization
22 hours ago
Job highlights
- Minimum 1+ years experience in Pre-Authorization with Surgery/Orthopedic experience and good understanding of medical terminology
- Obtain prior authorizations and referrals from insurance companies, monitor and update orders, provide clinical information for authorizations
Job description
**Please Ignore if you have experience into NON VOICE**
Minimum 1+ years experience in Pre-Authorization (RCM) Voice Process.
Role & responsibilities
Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone.
Monitors and updates current Orders and Tasks to provide up-to-date and accurate information.
Provides insurance company with clinical information necessary to secure prior-authorization or referral.
Obtains and/or reviews patient insurance information and eligibility verification to obtain prior authorizations for injections, DME, Procedures, and surgeries.
Preferred candidate profile
Role Prerequisites:
- Minimum 1 year and above experience in Prior Authorization withSurgery/Orthopedic Experience
- Good understanding of the medical terminology and progress notes
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